Provider Demographics
NPI:1851418578
Name:MOSLEY TURNER, KIMBERLEY ANNETTE (RN)
Entity Type:Individual
Prefix:MS
First Name:KIMBERLEY
Middle Name:ANNETTE
Last Name:MOSLEY TURNER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1048 HIALEA CT
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:OH
Mailing Address - Zip Code:43528-7008
Mailing Address - Country:US
Mailing Address - Phone:419-509-5465
Mailing Address - Fax:
Practice Address - Street 1:1048 HIALEA CT
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:OH
Practice Address - Zip Code:43528-7008
Practice Address - Country:US
Practice Address - Phone:419-509-5465
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2016-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN-274278163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2406882OtherPROVIDER NUMBER